Facilitating the Genetic Counseling Process Practice-Based Skills, Second Edition

41

Table 2.1 (continued)

Goala Strategya Behaviora Additional strategiesb

Patient family

dynamics are

understood by

counselor and

patient

• – Use psychosocial
  counseling skills/strategies
  Information giving
  Assessment

Patient self-esteem

is maintained or

increased

Define patient

support network

Identify resources

Convey empathy

• Use psychosocial
  counseling skills/strategies
  Provide resources
  Empower patient

GC genetic counseling
aREM tenets, goals, preliminary strategies and behaviors from McCarthy Veach et  al. ( 2007 ,
pp. 720–721)
bMost prevalent strategy domain for each REM goal from research by Redlinger-Grosse et  al.
( 2017 , pp. 1378–1379)

Genetic Counseling Process

Education Individual Attributes

Genetic Counseling Outcomes

Relationship

Tenet: Genetic information is key

Tenet: Relationship is

integral to genetic

counseling

Tenets: Patient autonomy must be supported

Patients are resilient

Patient emotions matter

Patient understands and applies information to

• Make decisions


• Manage condition


• Adapt to situation

Fig. 2.1 Reciprocal-Engagement Model (REM) of genetic counseling practice. Note. Each ele-
ment interacts with every other element. None stand alone or work isolation.  Reprinted with per-
mission of the Journal of Genetic Counseling

2.2 The Reciprocal-Engagement Model of Genetic Counseling Practice